Laserfiche WebLink
ArPL. � /� -l/� <br />No. (Q�l <br />� PIXED / � � <br />/k71' DEP051T �� �� <br />Y� <br />SERVICE f�rl�ooeun�L� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER �O �� <br />DATE_1�Z�v_��__, <br />W. O, <br />� � BLK..� LOT..�J ADI .Y_� <br />INSTAL� �� � __METEREU SEFVICE_ _— I <br />I HEREBY APPLY FOR THE I15E OF W�TEF IN ACCOROANCE wI7H THE <br />ORDINANCES AND POLICIES OF THE WATER DEVrIRiMENT NOW EXISTING � yn, � <br />OR AS SAl1E MAY BE HEREAF7ER CH�NGED. a1cNeD: X�,�-C�<f�-G1�-'— —_'_ Q��9s.�61_ <br />M�TERIALB I�' �N� ��N• I��N• I I Pp��E �MOUNT <br />PIrE ��'6�—CAP�M'T.. ,x1Ti, _-" SiEEL'— �.� �� <br />CORPORATION _ __ � _ —i I — — <br />i � <br />CURB COCK OT i <br />SERVICE BOX STI • C I I _ �_ <br />METER VALVE <br />METER No. TYPE: I !S _ <br />METER BOX CONCRETE SMALL LARGE <br />jL/�SO'I� __ ---� -�-- <br />DATE INSTALLED: <br />coo[ I <br />REMARKS: <br />n rn ON <br />�/ � OFF �� y�/ SUB TO�AL <br />1A60R AND ECUInMENf RENTI1l. � MOUR!' pATE <br />Tor�� <br />